Individual
JAMES EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2341 S STATE ROAD 39, LA PORTE, IN 46350-8128
(219) 362-0099
Mailing address
2114 WOODLAWN DR, LA PORTE, IN 46350-6105
(219) 362-0099
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
01022151A
IN
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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